Provider Demographics
NPI:1033362504
Name:SAINJU, RUP KAMAL (MBBS)
Entity type:Individual
Prefix:
First Name:RUP
Middle Name:KAMAL
Last Name:SAINJU
Suffix:
Gender:
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2571
Mailing Address - Fax:203-737-2799
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:RCP-2ND FLOOR, NEUROLOGY CLINIC
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2571
Practice Address - Fax:203-737-2799
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2509962084N0400X
IAMD-415832084N0600X, 2084E0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084E0001XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyEpilepsy
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology